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Individual

THAI TRAN NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6353
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 933-5474

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D60579
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
402636500
MD
Enumeration date
05/20/2006
Last updated
10/26/2010
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